Individual
DR. ALLAN M WACHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16611 S 40TH ST STE 170, PHOENIX, AZ 85048-0565
(480) 785-8000
(480) 705-8129
Mailing address
16611 S 40TH ST STE 170, PHOENIX, AZ 85048-0565
(480) 785-8000
(480) 705-8129
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
17145
AZ
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
17145
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z3872
HEALTH NET AZ
AZ
05
—
27995201
—
AZ
01
—
826036
AETNA
AZ
01
—
AZ0807640
BCBS
AZ
Enumeration date
06/07/2006
Last updated
12/15/2025
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